Provider Demographics
NPI:1922397975
Name:WEST HILLS VISION CARE, LLC
Entity Type:Organization
Organization Name:WEST HILLS VISION CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-764-9321
Mailing Address - Street 1:7535 SW BARNES RD STE 111
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-6269
Mailing Address - Country:US
Mailing Address - Phone:503-764-9321
Mailing Address - Fax:503-974-2015
Practice Address - Street 1:7535 SW BARNES RD STE 111
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-6269
Practice Address - Country:US
Practice Address - Phone:503-764-9321
Practice Address - Fax:503-974-2015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-30
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3123ATI152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty